Understanding Your Condition
Fibroids, also called myomas, are usually benign growths within the muscular wall of the uterus. They are common and do not always cause symptoms. When symptoms occur, their location can be as important as their size in determining treatment.
Symptoms and Situations
Heavy or prolonged periods, fatigue caused by anemia, pain, pressure on the bladder, abdominal enlargement or difficulty conceiving are common reasons for consultation. Other causes of these symptoms must also be considered.
Types and Key Differences
A submucosal fibroid grows toward the uterine cavity, an intramural fibroid lies within the muscular wall and a subserosal fibroid projects toward the outside. Their number, blood supply and location help guide treatment choices.
Which Investigations May Be Recommended?
Assessment includes the gynecological history, evaluation of menstrual blood loss, ultrasound and, if necessary, additional examination of the uterine cavity or MRI. Testing for anemia may be useful before a decision is made.
Which Treatment Options May Be Discussed?
Monitoring or medical treatment of symptoms may be appropriate for some fibroids. Myomectomy removes one or more fibroids while preserving the uterus. Depending on their location, it may be performed by hysteroscopy, laparoscopy or open surgery. Plans for pregnancy deserve specific discussion.
Preparation and Follow-Up at the Practice
Preparation depends on the chosen technique and symptoms. During the consultation, Dr Ines Ben Hassen Hached also discusses recovery, bleeding management and recommendations before a possible future pregnancy.
Why Consult Dr Ines Ben Hassen Hached?
At the practice in Ennasr 2, Ariana, Dr Ines Ben Hassen Hached takes time to discuss your symptoms, medical history and expectations. She reviews any test results already available, clarifies whether treatment may be indicated and organizes a care pathway suited to your situation. Details of any procedure and information specific to your case are explained during the consultation.
For uterine fibroids, size, location, symptoms and pregnancy plans help guide discussion of medical and surgical options.
Frequently Asked Questions from Patients
Do All Fibroids Require Surgery?
No. Treatment is discussed when symptoms, progression or personal circumstances justify it.
Does Myomectomy Preserve the Uterus?
Yes. Myomectomy is intended to remove the selected fibroid or fibroids while preserving the uterus. The surgical approach is tailored to the patient.
Consult Dr Ines Ben Hassen Hached
To review your symptoms, tests and available care options, make an appointment at Dr Ines Ben Hassen Hached's practice in Ennasr 2, Ariana.
Telephone: +216 27 550 875 | +216 25 333 530
Address: Résidence La Coupole, Avenue Hédi Nouira, Ennasr 2, Ariana 2037, Tunisia.
Book an AppointmentNo online consultations are available. All medical consultations take place in person in Tunis.

